These are high impact patient safety structural measures with more than two decades of evidence providing evidence that higher staffing levels are associated with lower rates of patient death and harm. They have been identified as priority measures for public reporting to evaluate hospital quality.

These are the first nursing sensitive measures developed by ANA prioritized by the MAP for public reporting

MAP recommendations are considered by CMS in proposed rule-making

Details are available regarding the robust evidence about the importance of these measures to patient safety on the ANA Staffing webpage: www.nursingworld.org/nursestaffing

These measures are in alignment with ANA’s Principles for Safe Staffing

Measure Description:

Details of both staffing measures (numerator, denominator, exclusions) are available at the NQF measures website, the Quality Positioning System at this link: www.qualityforum.org/Qps/QpsTool.aspx (Search can be done by word in the search box, or click of “measure steward”on the left tab and choose ANA.

Nursing Hours per Patient Day

National Quality Forum (NQF) endorsed, NQ# 0205

NQF Description:

NSC-13.1 (RN hours per patient day) – The number of productive hours worked by RNs with direct patient care responsibilities per patient day for each in-patient unit in a calendar month.

NSC-13.2 (Total nursing care hours per patient day) – The number of productive hours worked by nursing staff (RN, LPN/LVN, and UAP) with direct patient care responsibilities per patient day for each in-patient unit in a calendar month.

NSC-12.1 - Percentage of total productive nursing hours worked by RN (employee and contract) with direct patient care responsibilities by hospital unit.

NSC-12.2 - Percentage of total productive nursing hours worked by LPN/LVN (employee and contract) with direct patient care responsibilities by hospital unit.

NSC-12.3 - Percentage of total productive nursing hours worked by UAP (employee and contract) with direct patient care responsibilities by hospital unit.

NSC-12.4 - Percentage of total productive nursing hours worked by contract or agency staff (RN, LPN/LVN, and UAP) with direct patient care responsibilities by hospital unit.

Note that the skill mix of the nursing staff (NSC-12.1, NSC-12.2, and NSC-12.3) represent the proportions of total productive nursing hours by each type of nursing staff (RN, LPN/LVN, and UAP); NSC-12.4 is a separate rate.

You are now leaving the American Nurses Foundation

The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. The Foundation does not engage in political campaign activities or communications.

The Foundation expressly disclaims any political views or communications published on or accessible from this website.